Tag Archives: Medicare Administrative Contractors

CMS Issues Final Rule on Hospice Wage Index and Payment Rate Update for FY 2015

On August 4, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating the hospice wage index and payment rate for Fiscal Year (FY) 2015 and adopting a number of payment reforms addressing concerns about program integrity, beneficiary protection, and quality (Final Rule). CMS also issued an accompanying Fact Sheet which … Continue reading this entry

GAO Issues Report on Post-Payment Claims Reviews by CMS Contractors

Compliance
The U.S. Government Accountability Office (GAO) recently issued a report entitled “Medicare Program Integrity: Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Post-Payment Claims Reviews,” which analyzes the processes used by the Centers for Medicare & Medicaid Services (CMS) to avoid the duplication of post-payment claims reviews by its contractors. GAO’s report focused … Continue reading this entry

Recovery Audits Cease as CMS Introduces New Provider-Friendly Contract Terms

February is the last date Recovery Audit Contractors (RACs) and Medicare Administrative Contractors (MACs) can issue additional documentation requests (ADRs) as the current Recovery Audit Program contracts are coming to a close. This will give providers a much-needed “intermission” in recovery audits until the Centers for Medicare and Medicaid Services (CMS) finalize and select winning bidders … Continue reading this entry